Assessment of Diabetes Self-Care Activities among Elderly Diabetics Residing Under Rural and Urban Field Practice Areas of a Medical College Situated at Hilly Region
Introduction: Self-care in diabetics is a crucial element in the secondary prevention. Self-care among elderly diabetics is a concern that too regions of hilly areas where there are less to access to health-care facilities. Hence, this study is done to assess the self-care activities among elderly diabetics residing under rural and urban field practice areas of a medical college situated at a hilly region. Objectives: The objectives of the study was to assess the self-care activities among elderly diabetics residing under rural and urban field practice areas of a Medical College Situated At Hilly Region. Materials and Methods: Cross-sectional study was done among 250 elderly diabetics residing under Rural and Urban field practice areas of Kodagu Institute of Medical Sciences, Madikeri, Kodagu District, Karnataka, during 2018 as part of ICMR-Short-Term Studentship 2018 Project. Summary of diabetes self-care activities measure tool was used to collect the data in local language after getting informed consent from the patients at Rural and Urban Health training centers. Results: About 68% of subjects were following healthful eating plan in most of the days of a week. About 8.8% of the study subjects were following specific diet plan meant for diabetes mellitus management. The majority of the patients were taking diabetes medications regularly on daily basis. About half of the patients were physically active on all 7 days of a week but more than half were not following specific exercise sessions other than household activities. Around 97% study subjects were not having practice of testing blood sugar on weekly basis. About 97% patients were not advised to check for blood sugar levels on weekly basis by their health-care provider. Around 86% of the patients check their foot on daily basis but few miss inspecting their foot wears for any kind of damages which can harm the foot. About 94% of patients take the recommended diabetes medications daily which suggests good compliance. Discussion: Diabetes self-care activities among elderly population were relatively poor. We as healthcare workers should create more awareness about self-care activities in the form of health education and counseling in routine settings so that patients can lead a quality life. The findings can be utilized for improving the quality of life in general population. There is a need to develop specific tool or measures to assess the self-care activities in people residing under hilly areas. Conclusion: The present study helped us to know the awareness and practice aspect of diabetes self-care activities. There is a need to develop specific tool or measures to assess the self-care activities in people residing under hilly areas.
Key words: Diabetes mellitus, Elderly, Self-care activities
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